ADAM RIVADENEYRA MD
NPI 1689935355
Family Medicine - Sports Medicine in Orange, CA

Active since May 30, 2012PECOS EnrolledAccepts Medicare Assignment
52.6/100
CMS Quality Rating
280 S MAIN ST STE 200, ORANGE, CA 92868(714) 634-4567 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 4, 2017 and 1 more (4 updates tracked since 2017).

About Adam Rivadeneyra Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM RIVADENEYRA MD (NPI 1689935355) is an individual sports medicine provider in Orange, California, licensed in California (A132857) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1689935355
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameADAM RIVADENEYRACredential: MD
Location Address280 S MAIN ST STE 200Orange, CA 92868-3852
Mailing Address280 S Main St Ste 200Orange, CA 92868-3852 · (714) 634-4567
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 30, 2012
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1689935355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in CA · A132857
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License A132857 (CA)
Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License A132857 (CA)
280 S MAIN ST STE 200, Orange, CA 92868

Secondary Practice Locations 2

Location 1258 E Harvard BlvdSanta Paula, CA 93060-3372 · Phone (805) 525-5518 · Fax (805) 525-9452
Location 2120 N Ashwood AveVentura, CA 93003-1810 · Phone (805) 652-5800 · Fax (805) 642-1928

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Adam Rivadeneyra Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284925579
PECOS Enrollment IDI20160616000647
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 31

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
11,488 services138 patients
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
5,220 services46 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,188 services219 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,020 services603 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
777 services604 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
718 services443 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

52.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality38.46
Improvement Activities40
Cost54.84

Reported Quality Measures

Documentation of Current Medications in the Medical Record
24%1,918 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
13%769 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
15%1,357 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 68% · 841 patients
66%841 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 780 patients
Patients totalRate: 3% · 780 patients
2%780 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier11 claims11 services$57.20 avg. paid by Medicare
Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1851
DME-Orthotic Devices · category DF011N
1 supplier29 claims30 services$369.81 avg. paid by Medicare
Addition to lower extremity orthosis, suspension sleeve L2397
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$104.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
280 S MAIN ST STE 200
ORANGE, CA 92868
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
280 S MAIN ST STE 200
ORANGE, CA 92868
Physician Assistant
280 S MAIN ST STE 200
ORANGE, CA 92868
Physician Assistant
280 S MAIN ST STE 200
ORANGE, CA 92868
Physician Assistant
280 S MAIN ST STE 200
ORANGE, CA 92868
Physician Assistant
280 S MAIN ST STE 200
ORANGE, CA 92868
Physician Assistant
280 S MAIN ST STE 200
ORANGE, CA 92868
Nurse Practitioner (Family)
280 S MAIN ST STE 200
ORANGE, CA 92868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Rivadeneyra's NPI number?

The NPI number for Adam Rivadeneyra is 1689935355. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Adam Rivadeneyra located?

Adam Rivadeneyra practices at 280 S Main St Ste 200, Orange, CA 92868. The listed phone number is (714) 634-4567.

What is Adam Rivadeneyra's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Adam Rivadeneyra enrolled in Medicare?

Yes. Adam Rivadeneyra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Adam Rivadeneyra was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.